Mr. Travis is a 32 year old male who presents to the ED after sustaining severe 2nd and 3rd degree burns in a house fire. The below diagram estimates his wounds. He weighs 85 kg and is 5’11”.
Critical Thinking Check
Bloom's Taxonomy: Application
Using the Rule of Nines, estimate the Total Body Surface Area Burned (TBSA %).
Autologous skin grafts are performed by taking a slice of healthy tissue from somewhere else on the patient’s body, for example, his right thigh that isn’t burned, and then running it through a meshing device.
This allows it to be stretched over the wound and secured in place, then the skin will grow in around the graft.
This nursing case study course is designed to help nursing students build critical thinking. Each case study was written by experienced nurses with first hand knowledge of the “real-world” disease process. To help you increase your nursing clinical judgement (critical thinking), each unfolding nursing case study includes answers laid out by Blooms Taxonomy to help you see that you are progressing to clinical analysis.We encourage you to read the case study and really through the “critical thinking checks” as this is where the real learning occurs. If you get tripped up by a specific question, no worries, just dig into an associated lesson on the topic and reinforce your understanding. In the end, that is what nursing case studies are all about – growing in your clinical judgement.
Miriam Wahrman, MSN/Ed, RNC-MNN 
Chance Reaves, MSN-Ed, RN 